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Efmoroctocog alfa is a fully recombinant fusion protein used for the treatment and prophylaxis of bleeding in people with hemophilia A. It consists of recombinant B-domain deleted human coagulation factor VIII covalently linked to the Fc domain of human immunoglobulin G1. This design extends its half-life compared to conventional factor VIII products by utilizing the neonatal Fc receptor pathway, which protects it from lysosomal degradation and recycles it back into circulation. Efmoroctocog alfa replaces missing or deficient factor VIII in patients with hemophilia A, thereby enabling normal blood clotting and temporary control of bleeding episodes. It is indicated for on-demand treatment and control of bleeding episodes, perioperative management, and routine prophylaxis in adults and children with hemophilia A[1][2][3][5][7].
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